| NPI | 1144679804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6731) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5883) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2019-09-25 |