| NPI | 1215430673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010089) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7952) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2022-03-11 |