| NPI | 1124396676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 2602) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004135) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2017-04-25 |