| NPI | 1114756830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30005011) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 8421) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2026-08-21 |