| NPI | 1699197558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA 14109591) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007124) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2026-04-10 |