| NPI | 1689289605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30005493) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4981) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2026-08-20 |