| NPI | 1629275672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 142350) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004432A) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2022-04-29 |