| NPI | 1356573752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 2026) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007845) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2018-12-06 |