| NPI | 1912071176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006547) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET001077) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2019-03-05 |