| NPI | 1972058121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12984) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 23994) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |