| NPI | 1467758136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007784) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 3672) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2019-03-19 |