| NPI | 1275101339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP014294) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015744) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2026-08-10 |