| NPI | 1063547958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 142027) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003432A) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2023-03-20 |