| NPI | 1871153601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6902) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011213) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2022-09-19 |