| NPI | 1760117592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3588) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005985) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 11046) | |
| Enumeration Date | 2022-07-17 |
| Last Update Date | 2024-02-19 |