| NPI | 1194944074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP1434) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4720) |
| 235Z00000X Speech-Language Pathologist, (Licence: MS S3645) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2012-05-30 |