| NPI | 1063084168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA SLP011253) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: GA 14287550) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-07-27 |