| NPI | 1013759646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP101778) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119639) |
| 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-2632) | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2025-08-11 |