| NPI | 1053939769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13987) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61440699) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP013421) | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2025-01-13 |