| NPI | 1699026500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008003) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9175) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |