| NPI | 1770895757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA SLP007561) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: GA PCET001544) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2011-05-25 |