| NPI | 1780032789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 548) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002129) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |