| NPI | 1487703278 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11658) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8338) | 
| Enumeration Date | 2007-01-09 | 
| Last Update Date | 2025-05-29 |