| NPI | 1902334543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003438) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002145) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2025-04-16 |