| NPI | 1457832792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID 3171960) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 5010) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 33780) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 16014) | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2025-11-11 |