| NPI | 1265599955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9913) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 15227) |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 6995) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2025-12-10 |