| NPI | 1235438797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 4568) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1405) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2013-04-12 |