| NPI | 1902004351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 804022) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006944) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2011-03-01 |