| NPI | 1023783768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-5515) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID TSLP-4826) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2026-04-08 |