| NPI | 1407415078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7300) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010595) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2020-12-14 |