| NPI | 1831736982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011925) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014961) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2023-12-19 |