| NPI | 1407679673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101009160) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 8219) |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |