| NPI | 1548662067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13131) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000005206) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2018-08-13 |