| NPI | 1144534314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007576) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET001556) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2011-05-31 |