| NPI | 1184089450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009516) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002295) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2017-07-17 |