| NPI | 1891196051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 6146) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07519) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2019-04-08 |