| NPI | 1659622314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3785) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009022) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2023-05-22 |