| NPI | 1821251786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 2897-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 1590057389) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2026-08-25 |