| NPI | 1063458867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4253) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005401) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2014-07-18 |