| NPI | 1760074843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 5359) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 7425) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-04-21 |