| NPI | 1205119179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010400) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 2341) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2022-10-09 |