| NPI | 1679850275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP003707) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10705) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2022-07-06 |