| NPI | 1356003461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012690) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2025-04-10 |