| NPI | 1528612785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21510) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012660) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 14312) | |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2023-08-11 |