| NPI | 1346630225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008901) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 11163) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2021-06-09 |