| NPI | 1629560974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 814100) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4662-154) |
| Enumeration Date | 2018-06-02 |
| Last Update Date | 2026-05-29 |