| NPI | 1851953459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011051) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002902) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2020-05-27 |