| NPI | 1962023523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 11849) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 24263) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2026-03-02 |