| NPI | 1447496773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007874) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9242) |
| 235Z00000X Speech-Language Pathologist, (Licence: AL 4539) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 29336) | |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2019-10-10 |