| NPI | 1861040131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 7030) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011327) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2022-09-24 |