| NPI | 1245649532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008913) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002069) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2016-09-13 |