| NPI | 1679893051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 267500) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4118) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2021-11-23 |