| NPI | 1518016641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP0000003775) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2494) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2009-03-18 |