| NPI | 1255116422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10826) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 9045) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2025-10-17 |