| NPI | 1063053791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010920) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002858) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2021-02-04 |