| NPI | 1427283365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN spoooooo2574) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000002574) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2011-08-11 |