| NPI | 1346790946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010826) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16419) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2025-10-28 |