| 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 |