| NPI | 1932224854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008215) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 1729) |
| 235Z00000X Speech-Language Pathologist, (Licence: MS 2894) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2016-07-08 |