| NPI | 1558987966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011328) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003058) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2021-01-25 |