| NPI | 1205398377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010367) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 3942) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |