| NPI | 1225576176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009984) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002479) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2020-01-22 |