| NPI | 1053046961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 9754) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2022027894) |
| Enumeration Date | 2022-07-24 |
| Last Update Date | 2025-03-31 |