| NPI | 1801680319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP013484) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA688) |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |