| NPI | 1568869915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ 9357) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5135) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2016-12-14 |