| NPI | 1689127607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009205) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000778) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |