| NPI | 1013343656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008180) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6984) |
| Enumeration Date | 2013-09-14 |
| Last Update Date | 2023-04-10 |