| NPI | 1306495452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 6562) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000006562) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2020-06-16 |