| NPI | 1396737946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004955) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 4664) |
| 235Z00000X Speech-Language Pathologist, (Licence: AK 33) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2020-04-07 |