| NPI | 1124221122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AL 3004) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: GA SLP006664) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2011-08-25 |