| NPI | 1689536419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 24208) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 5417) |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2025-12-01 |