| NPI | 1225681828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14458978) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2026-04-17 |