| NPI | 1811546963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14830) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 6517) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2022-11-16 |