| NPI | 1508609132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 30003892) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 261QH0700X Clinic/Center Hearing and Speech | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2025-05-05 |