| NPI | 1669201018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: KY 301259) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SZ12240) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2025-09-02 |