| NPI | 1609232149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP10477) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5585) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2022-07-21 |