| NPI | 1194125229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-4983) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60509341) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2025-11-04 |