| NPI | 1316633985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 11660) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 12217) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2026-09-24 |