| NPI | 1902763972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 39698) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004774) |
| 235Z00000X Speech-Language Pathologist, (Licence: OH SP.16411) | |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-01-22 |