| NPI | 1679500714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003456A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007623) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2011-08-17 |