| NPI | 1528608593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 9321) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP013835) |
| 235Z00000X Speech-Language Pathologist, (Licence: MA SLP101353) | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2025-10-21 |