| NPI | 1053932186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011060) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002922) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2021-06-14 |