| NPI | 1043616006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008725) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 3668) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |