| NPI | 1174230502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC 200001512) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 8948) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2025-07-15 |