| NPI | 1386873479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007836) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2924) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2024-06-25 |