| NPI | 1447564836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8929) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4716) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2015-03-18 |