| NPI | 1891687141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 30004405) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CT 7733) |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-08-26 |