| NPI | 1700935046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 0I-00001446) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006466) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2017-11-09 |