| NPI | 1043887771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT PRD-SP-LIC-11657) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID TSLP-4777) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2026-05-27 |