NPI | 1326577917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009707) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6773) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2025-09-26 |