| NPI | 1265753362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4589) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007322) |
| Enumeration Date | 2010-06-13 |
| Last Update Date | 2014-06-05 |