| NPI | 1013088574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3335) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005095) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-09 |