| NPI | 1164015400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010815) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2026-06-08 |