| NPI | 1912679531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.017646) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 528465) |
| 235Z00000X Speech-Language Pathologist, (Licence: ME ST3592) | |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2025-08-16 |