| NPI | 1497155659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009503) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10055) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2019-10-08 |