| NPI | 1114488434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010583) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 13415) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2022-08-04 |