| NPI | 1659936383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003655) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-8859) | |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2025-06-02 |