| NPI | 1720401714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 4154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 3186) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2023-08-24 |