| NPI | 1912112673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8665) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004038) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-09 |