| NPI | 1902342090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010910) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 095143) |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 242004004) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2020-04-13 |