| NPI | 1457974545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011594) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003073) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2023-06-20 |