| NPI | 1558510024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP003994) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 11299) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2025-02-10 |