| NPI | 1598629545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 6025) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S-5228) |
| Enumeration Date | 2025-12-15 |
| Last Update Date | 2026-04-13 |