| NPI | 1205503026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP4375) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112510) |
| Enumeration Date | 2021-08-28 |
| Last Update Date | 2025-06-20 |