| NPI | 1750003133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 6407-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 6072-154) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2026-04-23 |