| NPI | 1568347862 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003479) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17328) | 
| Enumeration Date | 2025-08-07 | 
| Last Update Date | 2025-10-24 |