| NPI | 1104557990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 282514) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 14309683) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2026-07-13 |