| NPI | 1043723000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004428) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010165) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002536) | |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2022-01-12 |