| NPI | 1023356417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3562) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET001871) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008417) | |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2016-03-01 |