| NPI | 1831265123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7640) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004977) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-01-22 |