| NPI | 1598454571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS 14283865) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 202482) |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-11-16 |