| NPI | 1932319688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006951) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 1784) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-08-11 |