| NPI | 1407106198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008463) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 8394509-4104) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2014-03-12 |