| NPI | 1306822788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006820) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 6740) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2013-04-22 |