| NPI | 1962775247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PR 955) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: PR 250) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2025-06-16 |