| NPI | 1437174950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006980) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2001001422) |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 2097) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-09-28 |