| NPI | 1720234230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 10004714) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003237A) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2022-10-03 |