| NPI | 1952725467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011105) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6546) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2020-07-29 |