| NPI | 1376140947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011651) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003222) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2024-04-12 |