| NPI | 1265928196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SAH-2025-0305) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 8005) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2025-09-08 |