| NPI | 1558502799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA SLP005116) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 3769) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |