| NPI | 1518385939 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004510) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146015598) | 
| Enumeration Date | 2014-04-02 | 
| Last Update Date | 2025-10-17 |