| NPI | 1295910057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 5025) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5639) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2026-03-31 |