| NPI | 1730773755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 8274) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA 014369) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2026-08-26 |