| NPI | 1881952984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008206) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12108) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2017-01-30 |