| NPI | 1073854170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3331) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007960) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |