| NPI | 1962832667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000005146) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 109982) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007405) | |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |