| NPI | 1730480799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010051) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8926) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2021-09-22 |