| NPI | 1215060868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 0772) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000000772) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-05-26 |