| NPI | 1568913416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006169) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000003986) |
| Enumeration Date | 2016-10-16 |
| Last Update Date | 2021-12-28 |