| NPI | 1891433009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010701) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19936) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2024-02-08 |