| NPI | 1942518055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007854) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017745) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2018-03-17 |