| NPI | 1184729394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007867) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15673) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2018-05-14 |