| NPI | 1760262299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA SLP012394) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TN 8068) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |