| NPI | 1811238108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP0000001612) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S0615) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |