| NPI | 1457660185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007885) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5221) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2020-01-29 |