| NPI | 1790049633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 3904) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 3224) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2025-07-24 |