| NPI | 1811503527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-10049) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-LTD-LIC-133) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2024-04-03 |