| NPI | 1669939500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010870) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8964) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2020-10-19 |