| NPI | 1407347826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 200061) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 200216) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2019-08-29 |