| NPI | 1326229626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: PR 952) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PR 1586) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2025-09-22 |