| NPI | 1154988624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010956) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002881) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2021-09-09 |