| NPI | 1508505462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 8533) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003556) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2025-03-11 |