| NPI | 1205417227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 41721) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ13521) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2026-08-19 |