| NPI | 1639693260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TN 8942) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 12375) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2024-11-06 |