| NPI | 1023404001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009186) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7068) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2016-10-11 |