| NPI | 1124427844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MS S4377) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TN 0000004848) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2020-02-25 |