| NPI | 1760250997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SAH-2024-0322) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA22039) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-11-19 |