| NPI | 1669944898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 271941) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 6377) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2021-07-30 |