| NPI | 1508504507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SAH20240261) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI4947) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA23226) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NM 431906) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01301100) | |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2025-03-03 |