| NPI | 1720351588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12684) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5499) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2025-08-05 |