| NPI | 1790181394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 7073) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007506) |
| Enumeration Date | 2014-11-08 |
| Last Update Date | 2020-11-10 |