| NPI | 1407532476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: GA SLP012163) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: FL 19901) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012163) | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-12-13 |