| NPI | 1154796340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 5506) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009130) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2016-06-29 |