| NPI | 1124009675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO 0006100) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TN 0000002401) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2024-09-24 |