| NPI | 1922554310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30001938) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 22824) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2025-05-13 |