| NPI | 1922259944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004583) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2691) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2009-03-11 |