| NPI | 1710503586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011487) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003110) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2022-11-08 |