| NPI | 1528225620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006672) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004325) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 7241) | |
| Enumeration Date | 2008-05-18 |
| Last Update Date | 2013-07-03 |