| NPI | 1023853108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.028763) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0005771) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 35244) | |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2025-11-18 |