| NPI | 1629291695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006994) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 2891) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2009-03-19 |