| NPI | 1902994890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3009) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 3664) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP003569) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |