| NPI | 1184599839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP16924) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 7197-154) |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-12-09 |