| NPI | 1134545379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 771) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S3540) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |