| NPI | 1861163867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2021020636) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL016473) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2026-06-02 |