| NPI | 1114105350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008385) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 0179201) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2021-06-16 |