| NPI | 1164720256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007886) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8876) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2012-08-30 |