| NPI | 1326177569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa9205) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET001100) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2019-04-25 |