| NPI | 1386010825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006666A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008967) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2022-11-01 |