| NPI | 1811051709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: GA SLP001517) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP001517) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-09 |