| NPI | 1184102659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6410) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM SA-2026-0156) |
| 235Z00000X Speech-Language Pathologist, (Licence: WI 7468-154) | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2026-08-12 |