| NPI | 1720640477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18398) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP16786) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2025-10-27 |