| NPI | 1306187828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005047) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5690) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2025-08-26 |