| NPI | 1881992618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008786) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2006) |
| 235Z00000X Speech-Language Pathologist, (Licence: NH 1290) | |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2015-10-08 |