| NPI | 1780839506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05204) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008270) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2013-08-08 |