| NPI | 1043054679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 7141-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 6620-154) |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2026-03-02 |