| NPI | 1063072833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6896) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004657) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2026-06-28 |