| NPI | 1093002909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 4755) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 1203011) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2018-07-09 |