| NPI | 1619201233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006899) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2261) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |