| NPI | 1003220104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4378) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008241) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 10564) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |