| NPI | 1518205459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9889) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007903) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2016-06-29 |