| NPI | 1134009962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 9602) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.017972) |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2026-05-21 |