| NPI | 1508644170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 02805) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP16623) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2026-05-13 |