| NPI | 1740067669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ12457) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SI5019) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2025-01-22 |