| NPI | 1164110284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL018745) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH UD191165) |
| 235Z00000X Speech-Language Pathologist, (Licence: NM SLP-2023-0118) | |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2025-12-29 |