| NPI | 1891459590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 07817) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 031315) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2022-02-28 |