| NPI | 1366978223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MT SLP-SP-LIC-8765) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MT SLP-SP-TMP-6292) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-11-27 |