| NPI | 1700015336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 6005) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS 49540) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2021-07-13 |