| NPI | 1306396106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 4023) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009410) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |