| NPI | 1891912853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008547) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009259) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2014-08-11 |