| NPI | 1851690929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 375541) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006931) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2023-12-12 |