| NPI | 1578099685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 7881) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 172804) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2023-03-08 |