| NPI | 1144480542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP0000005184) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TN LDN0000002999) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2017-01-06 |