| NPI | 1508265919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008882) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002072) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2024-11-13 |