| NPI | 1134790108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 11214) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-LTD-LIC-168) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2023-02-06 |