| NPI | 1730310459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 2871) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP003757) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2012-01-10 |