| NPI | 1447395157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010991) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8874) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-12-02 |