| NPI | 1679803621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 3084) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4170) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2015-03-11 |