| NPI | 1689220584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL017615) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000288) |
| 235Z00000X Speech-Language Pathologist, (Licence: NM SAH-206-0236) | |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2025-08-18 |