| NPI | 1417113432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011422) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8065) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2021-10-31 |