| NPI | 1699195859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15554) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 12146298) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2025-06-30 |