| NPI | 1992067151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12168) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5803) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2013-04-23 |