| NPI | 1922675669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003585) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 12341115-4104) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2025-07-03 |