| NPI | 1346996014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7902) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004675) |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2025-12-02 |