| NPI | 1245016252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2024026842) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 5726) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2025-09-26 |