| NPI | 1831418391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 010386) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000003688) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2021-06-23 |