| NPI | 1942522974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 4250) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: GA SLP008154) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2024-08-14 |