| NPI | 1104139500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9280) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL10007) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2026-09-03 |