| NPI | 1851921613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011931) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15388) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2023-08-25 |