| NPI | 1386397347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012477) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003524) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2023-03-13 |