| NPI | 1467279414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 12521) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SI7219) |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2025-03-12 |