| NPI | 1912899352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SI5547) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AI637) |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-18 |