| NPI | 1598821290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07006) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006364) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2025-07-31 |