| NPI | 1174765614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 6048) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000003724) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2016-12-09 |