| NPI | 1457096216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 8590) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 30001550) | |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2026-09-10 |