| NPI | 1184928863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP7495) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP12073) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2022-05-19 |