| NPI | 1801209333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 4790) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 1745) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007195) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |