| NPI | 1861649543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP0000001347) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP4552) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2011-11-18 |