| NPI | 1083847255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012098) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00602000) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP15513) | |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2024-02-27 |