| NPI | 1003638230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 14405374) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL019178) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2026-06-02 |