| NPI | 1215453683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-1627) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ TL-2319) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL0122255) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |