| NPI | 1477165645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003423) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 7181) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2025-01-07 |