| NPI | 1093974123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 3424) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: GA SLP005317) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |