| NPI | 1578124368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011355) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002906) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2022-11-05 |