| NPI | 1659622231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22001005A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.003338) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |