| NPI | 1093262008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006959A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 026000-1) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2022-12-28 |