| NPI | 1215072533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 7445) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S1128) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2024-05-07 |