| NPI | 1811596935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 8135) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004784) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2026-01-22 |