| NPI | 1114893005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 306) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: PR 306) |
| 261QH0100X Clinic/Center, Health Services (Licence: PR 306) | |
| 261QH0700X Clinic/Center, Hearing and Speech (Licence: PR 306) | |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |