| NPI | 1598824120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 13302) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA slp005362) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2010-01-19 |