| NPI | 1033898622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP16086) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 14251910-4102) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL017754) | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2025-12-29 |