| NPI | 1619037488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA SLP010142) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA SL008447) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2018-07-03 |