| NPI | 1376436071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30005053) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 11456) |
| Enumeration Date | 2025-05-31 |
| Last Update Date | 2026-06-23 |