| NPI | 1558934075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005335) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011548) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2023-07-14 |