| NPI | 1891959516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA GA009212) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4291) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2020-09-24 |