| NPI | 1720491574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004725) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007153) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2024-04-23 |