| NPI | 1609551894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003279) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP14656) |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2026-01-28 |