| NPI | 1376657114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006932) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5662) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2014-04-08 |