| NPI | 1740617026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10702) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 12136354) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2026-06-02 |