| NPI | 1477966117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008843) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002034) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2019-04-18 |