| NPI | 1790038404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 36708) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA23454) |
| 235Z00000X Speech-Language Pathologist, (Licence: OH SP.16193) | |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL009111) | |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2026-05-18 |