| NPI | 1629877477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 9165) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003694) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 029937) | |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2026-02-16 |