| NPI | 1790425163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004331) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112862) |
| 235Z00000X Speech-Language Pathologist, (Licence: ME SP4198) | |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011987) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NH 3232) | |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2025-12-11 |