| NPI | 1639663099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IA 094049) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AL 4309) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2025-05-15 |