| NPI | 1184346421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003668) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012630) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2025-02-11 |