| NPI | 1679172050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 23474) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2026-01-29 |