| NPI | 1174997258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 2711-154) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 0025776) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2025-12-08 |