| NPI | 1275958407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA SLP004874) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AL 3480) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |