| NPI | 1538467725 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 21291) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 2025-0066) | 
| 235Z00000X Speech-Language Pathologist, (Licence: CA 29802) | |
| Enumeration Date | 2011-03-11 | 
| Last Update Date | 2025-09-18 |