| NPI | 1659975464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011315) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 7565) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2024-06-05 |