| NPI | 1578704748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007139) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET001362) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-08-13 |