| NPI | 1891072971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 3955) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 3913) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2021-01-21 |