| NPI | 1699240739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010770) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI60899493) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2024-04-12 |