| NPI | 1770336851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 8620) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012142) |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |