| NPI | 1972129732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011497) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003081) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2021-05-19 |