| NPI | 1295189231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 4154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS 3917) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2023-02-23 |