| NPI | 1366107757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-2014-0) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 31687) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-01 |