| NPI | 1093518433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2004018415) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4065) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |