| NPI | 1760955363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012171) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01606L) |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 09349) | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2022-08-10 |