| NPI | 1811681943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2025035676) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.007167) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2026-07-23 |