| NPI | 1972161396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA SLP010111) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0003238) |
| 235Z00000X Speech-Language Pathologist (Licence: CA 27523) | |
| 235Z00000X Speech-Language Pathologist (Licence: AK 146856) | |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-06-03 |