| NPI | 1770976144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TN 6628) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: GA SLP006884) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2020-08-31 |