| NPI | 1609350347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 010905) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002791) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2024-06-05 |