| NPI | 1508226564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14946597) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 1604015) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2026-09-11 |