| NPI | 1710388541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14266) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.16064) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2026-04-06 |