| NPI | 1841767548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010899) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6724) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2023-01-24 |