| NPI | 1891915096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005915) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN060809) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2023-05-05 |