| NPI | 1194879742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 4059) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP 4515) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-01-28 |