| NPI | 1740524164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000004009) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2846) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |