| NPI | 1053750414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MS S3756) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TN 5687) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2020-04-14 |