| NPI | 1275679904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3887) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 3130) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-10-27 |