| NPI | 1659760270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3865) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 12149642) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-12-06 |