| NPI | 1063825669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TN 4731) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MS 3847) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2022-10-11 |