| NPI | 1710833835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3794) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2025045819) |
| Enumeration Date | 2026-03-10 |
| Last Update Date | 2026-03-10 |