| NPI | 1467767483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP 008056) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 17914) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2013-05-10 |