| NPI | 1053985424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 8606) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO .0000766) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2025-02-05 |