| NPI | 1538169271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 00003606) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S2027) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2022-03-25 |