| NPI | 1962963009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2023049812) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4368) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2025-08-06 |