| NPI | 1710551544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP14439) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 6763) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2023-08-08 |