| NPI | 1366982829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12197) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008017) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 29772) | |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2025-08-14 |