| NPI | 1265624977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007650) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 21359) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2016-05-04 |