| NPI | 1336131994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP00006300) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET001021) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2022-05-06 |