| NPI | 1619199759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TN 6693) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 7000) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-10-07 |