| NPI | 1194206243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: na) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: IN 29001978A) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2023-07-31 |