| NPI | 1962115303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: AZ SLPA14264) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ TSLP16678) |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2025-09-02 |