| NPI | 1528665510 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 7872) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9828) | 
| Enumeration Date | 2020-10-03 | 
| Last Update Date | 2022-07-02 |