| NPI | 1164073862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 4110) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 004110) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2026-03-10 |