| NPI | 1932590197 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09282) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 271648) | 
| Enumeration Date | 2015-02-10 | 
| Last Update Date | 2025-08-06 |