| NPI | 1700062403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006989) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET001271) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2009-02-13 |