| NPI | 1699460790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TN 8628) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AL 5320) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2024-05-28 |