| NPI | 1356800544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14132) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL018299) |
| 235Z00000X Speech-Language Pathologist, (Licence: WY SP-1370) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2026-06-21 |