| NPI | 1225834591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20935) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008238) |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-07-28 |