| NPI | 1275886988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008527) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6050) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2021-11-19 |