| NPI | 1073298345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003816) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP100986) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2026-06-29 |