| NPI | 1376857037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 5083) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 3803) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2014-05-13 |