| NPI | 1407529860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SAH-2024-0429) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL016547) |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2026-06-01 |