| NPI | 1316393549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 7070) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 1506084) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2022-01-17 |