| NPI | 1740639350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010922) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 1610271) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2021-12-14 |