| NPI | 1912204660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 11549) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5339) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2016-10-17 |