| NPI | 1184979536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 6530) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 3182) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2019-06-13 |