| NPI | 1487279279 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: AR 201098)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: TN 6367)  | 
| Enumeration Date | 2020-06-08 | 
| Last Update Date | 2020-07-01 |