| NPI | 1730914995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ12241) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 7122-154) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2025-10-06 |