| NPI | 1215908058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 291) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TN 55) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2025-09-11 |