| NPI | 1598063752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007826) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10844) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2022-07-21 |