| NPI | 1376042184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP0000007014) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009658) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2020-06-01 |