| NPI | 1497245252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010692) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 7909) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2019-08-23 |