| NPI | 1740401686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2900) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000002691) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-12-01 |