| NPI | 1487146874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2025044991) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146028751) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 118215) | |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2025-12-01 |