| NPI | 1538855705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012940) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003784) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2024-02-28 |