| NPI | 1346671286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012182) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 3985) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2024-08-08 |