| NPI | 1356879746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MD 09575) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: GA SLP009678) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2023-08-24 |