| NPI | 1558726661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009270) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002231) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2018-11-23 |