| NPI | 1548442916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011024) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL007170) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2024-12-23 |