| NPI | 1962534545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 003066-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8629) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2014-07-17 |