| NPI | 1679255566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 23037) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012392) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2026-07-13 |