| NPI | 1518473107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004548) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002509) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2024-06-19 |