| NPI | 1578310132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 11865) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ12143) |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2026-01-21 |