| NPI | 1043773351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2015010730) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-1537) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |