| NPI | 1023453917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL Sa9950) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA Slp007841) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |