| NPI | 1225875495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002804) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 8904) |
| 235Z00000X Speech-Language Pathologist, (Licence: MA SLP77341) | |
| Enumeration Date | 2024-07-13 |
| Last Update Date | 2025-04-14 |