| NPI | 1386374221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 237550) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA PSL001775) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2025-05-21 |