| NPI | 1417149394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#1388) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004667) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2013-08-27 |