| NPI | 1730475146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA SLP008032) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 235Z00000X Speech-Language Pathologist (Licence: MN 8757) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2022-05-11 |