| NPI | 1639823552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ TSLP16481) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: AZ SLPA13569) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2025-07-31 |