| NPI | 1902669369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004501) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1000) |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2025-09-30 |