| NPI | 1578453957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ID DH-4488) |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |