| NPI | 1093850026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007870) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8828) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA 7586) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2015-01-06 |