| NPI | 1447484605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000003648) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010867) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2023-09-13 |