| NPI | 1649527599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005866A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI 1666) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006802) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 26515) | |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2022-06-30 |