| NPI | 1811072416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 34116) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010800) |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 3279) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL TPSA263) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NV SP-3358) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2026-05-13 |