| NPI | 1316698863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012159) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003508) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2023-01-25 |