| NPI | 1497449508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30005226) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA24138) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2026-06-16 |