| NPI | 1003640475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2024035190) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2026-06-16 |