| NPI | 1265756159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008545) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9701) |
| Enumeration Date | 2010-03-21 |
| Last Update Date | 2023-01-08 |