| NPI | 1982643516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 5634) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 3031) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |