| NPI | 1720271810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005260) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2623) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2022-06-29 |