| NPI | 1407081995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP003706) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV sp-867) |
| 235Z00000X Speech-Language Pathologist, (Licence: AL 3384) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2013-04-17 |