| NPI | 1104544394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS 5266) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 7656) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-08-18 |