| NPI | 1821694001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011461) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 2103232) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2021-04-30 |