| NPI | 1508015256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 5921) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004509) |
| 235Z00000X Speech-Language Pathologist, (Licence: AR 4060) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2019-02-14 |