| NPI | 1215783014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002235) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 35529) |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2025-06-13 |