| NPI | 1225276884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 3965) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005545) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |