| NPI | 1255996963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30005142) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013865) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012505) | |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2026-06-18 |