| NPI | 1043446628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 3356) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7723) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2020-04-16 |