| NPI | 1821153495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4259) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP 6445) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2008-08-15 |