| NPI | 1114369683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15081) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08210) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2026-03-31 |