| NPI | 1972884567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007787) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11122) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2022-03-20 |