| NPI | 1134475916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 8143) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4481) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2019-01-29 |