| NPI | 1003246166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2013032111) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN SP0000004801) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2022-01-12 |