| NPI | 1457518417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN ST5779) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV 1179) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2019-04-12 |