| NPI | 1255019147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13708) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME 3204) |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 6644) | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-03-13 |