| NPI | 1073591392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10854) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP0005919) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2024-02-14 |