| NPI | 1073474748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2025-11-20 |