| NPI | 1689299489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 1001387515) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4786-154) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2026-06-09 |