| NPI | 1235568585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 10590) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: GA SLP007629) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2023-08-22 |