| NPI | 1326240433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2485) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2026-01-22 |