| NPI | 1700244126 |
|---|---|
| Former Name | ANDREA KAUFMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP000883) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC005675) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2022-07-20 |