| NPI | 1861631541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6340) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007011) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2010-08-12 |