| NPI | 1568901155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 168846) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005635A) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |