| NPI | 1437548765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5043) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10618) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2025-07-24 |