| NPI | 1710370515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14061) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008133) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2024-04-19 |