| NPI | 1861916983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009792) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 12713) |
| 235Z00000X Speech-Language Pathologist, (Licence: OR 016237) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2018-05-10 |