| NPI | 1003121740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008019) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 10251) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2023-04-20 |