| NPI | 1023456548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008054) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA 14065097) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |