| NPI | 1427643691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61569235) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV LL61569235) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2025-03-04 |