| NPI | 1417227109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 8497) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4613) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-08-01 |