| NPI | 1396313037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30000492) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP12346) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2024-08-09 |