| NPI | 1063967479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 7687) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.004100) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2023-06-07 |