| NPI | 1396294245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 3094) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006935) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2024-01-24 |