| NPI | 1174764930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000003608) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009395) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2015-02-06 |