| NPI | 1215335575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA SLP008561) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0001943) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |