| NPI | 1437694619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 14200340) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009163) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |