| NPI | 1063903250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 248339) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22008582A) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2023-09-26 |