| NPI | 1245784826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 6031) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 5058) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-09-07 |