| NPI | 1891215547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010242) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ YS01881) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2019-07-16 |