| NPI | 1013679026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7840) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 235Z00000X Speech-Language Pathologist, (Licence: MT 11609) | |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2026-08-21 |