| NPI | 1770864365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA SLP007563) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: SC SLP4871) |
| 235Z00000X Speech-Language Pathologist (Licence: MD 06484) | |
| 235Z00000X Speech-Language Pathologist (Licence: NC 9455) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |