| NPI | 1992479877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012185) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003406) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2022-07-19 |