| NPI | 1265168801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 5769) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-1274) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2025-03-13 |