| NPI | 1487618864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008528) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 3228) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA4742) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2019-06-17 |