| NPI | 1043259278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1202) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 114) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2026-08-25 |