| NPI | 1891369328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003540) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011563) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2025-03-26 |