| NPI | 1982384210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 6437-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 6255-154) |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2025-07-17 |