| NPI | 1386503654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004851) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 29500) |
| Enumeration Date | 2026-01-21 |
| Last Update Date | 2026-06-01 |