| NPI | 1528071461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007795) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 3104) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2012-04-24 |