| NPI | 1538859780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003704) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015775) |
| 235Z00000X Speech-Language Pathologist, (Licence: CT 8035) | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2025-03-10 |