| NPI | 1790908598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3998) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006290) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-09-29 |