| NPI | 1700388600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 9184) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 15255) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2025-12-22 |