| NPI | 1821318833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA SLP007562) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: GA PCET001528) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2011-05-13 |