| NPI | 1942669965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5514) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007333) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2018-09-10 |