| NPI | 1255546024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006814) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4084) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2022-09-08 |