| NPI | 1124789912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 5549) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 201687) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2026-08-03 |