| NPI | 1124646880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA23693) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP013145) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2026-05-30 |