| NPI | 1568192201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP013072) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA22284) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2024-06-06 |