| NPI | 1124667720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 8226) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP001441) |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2026-02-23 |