| NPI | 1053924001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CT 006599) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: GA PCET003211) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-03-10 |