| NPI | 1285447052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2025035612) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4165) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: MO 2024047419) | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-10-01 |