| NPI | 1982654570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3729) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005804) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-04-09 |