| NPI | 1568636496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP #2623) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 3017) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2012-10-04 |