| NPI | 1851175749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2203001050) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 9819) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL017031) | |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2025-09-29 |