| NPI | 1225245459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS 0392) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS 2425) |
| 235Z00000X Speech-Language Pathologist, (Licence: TN 3631) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-03-28 |