| NPI | 1538219597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11303) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 2006014616) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008819) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2022-07-20 |