| NPI | 1467807875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 5674) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12089) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2023-08-27 |