| NPI | 1477861649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TN SP 0000001599) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TN A 0000001094) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |