| NPI | 1164256137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004838) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 2454) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2026-02-16 |