| NPI | 1023961679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 2563) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 16402) |
| Enumeration Date | 2026-02-16 |
| Last Update Date | 2026-07-29 |