| NPI | 1942367917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP0000004043) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 2106) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2014-07-23 |