| NPI | 1295104990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3635) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000005513) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-28 |