| NPI | 1538657333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP16486) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 34467) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2025-07-17 |