| NPI | 1225291099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005887) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 12080866) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |