| NPI | 1750047163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: KS 5828) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: OK SLPA183) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2025-11-04 |