| NPI | 1336388891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11003) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7451) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2026-04-10 |