| NPI | 1093291858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP78640) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 167285) |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 146.028717) | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2025-10-29 |