| NPI | 1518404805 | 
|---|---|
| Former Name | SARAH VANDERBOSCH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006778A) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 46003016A) | 
| Enumeration Date | 2017-01-24 | 
| Last Update Date | 2022-08-02 |