| NPI | 1982016465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13995) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1342) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2015-09-17 |