| NPI | 1679026546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3977) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009165) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA 14097153) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |