| NPI | 1396989661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007230) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4431) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2014-03-18 |