| NPI | 1205543345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 7132) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 23790) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 37084) | |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2026-07-28 |