| NPI | 1164915153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 031415) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 6103) |
| 235Z00000X Speech-Language Pathologist, (Licence: CT 6133) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2025-10-22 |