| NPI | 1114347176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: KY SLPLPA00193918) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TN SP 0000005002) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-10-27 |