| NPI | 1801564281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012140) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003451) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-08-24 |