| NPI | 1699781716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP0000001594) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004960) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-09 |