| NPI | 1487973814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 4776) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5031) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007695) | |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2023-12-27 |