| NPI | 1922484575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 11780306-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009303) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2021-04-26 |