| NPI | 1922419175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 18638) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 5350) |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 2022031292) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 21166) | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2025-08-29 |