| NPI | 1013654136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 5055) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2022031134) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2025-11-06 |