| NPI | 1063394872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 8819) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP013718) |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2026-04-14 |