| NPI | 1922597228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC SLP7060) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002560) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2022-12-21 |