| NPI | 1639312127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007756) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60078936) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 025430-1) | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2016-02-15 |