| NPI | 1841947009 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: TN 7624)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: GA SLP011386)  | 
| Enumeration Date | 2022-03-08 | 
| Last Update Date | 2022-03-08 |