| NPI | 1023339835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 3868) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4125) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2011-09-01 |