| NPI | 1609065333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0000448) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006108) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2019-08-09 |