| NPI | 1669313961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30005145) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 9779) |
| Enumeration Date | 2026-04-02 |
| Last Update Date | 2026-08-12 |