| NPI | 1215020029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11211) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP 006442) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-05-01 |