| NPI | 1659622751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7243) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 1306141) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2025-08-28 |