| NPI | 1992036248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 4539) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 4429) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |