| NPI | 1710509245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 4203) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011026) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-10-26 |