| NPI | 1669770780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22007822A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 15265) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2022-02-01 |