| NPI | 1801616875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 9348) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ12364) |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2025-08-25 |