| NPI | 1124608732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 18410) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 133282) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 34738) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007482) | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2026-04-02 |