| NPI | 1376942508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008920) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002045) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2015-06-29 |