| NPI | 1356037352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KS 3869) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2025-08-18 |