| NPI | 1922589464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13231) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5819) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2023-05-31 |