| NPI | 1770725418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007891) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09069) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2026-02-13 |