| NPI | 1972982700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011764) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 11400) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2024-09-09 |