| NPI | 1871736918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3869) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004881) |
| Enumeration Date | 2009-04-18 |
| Last Update Date | 2009-04-18 |