| NPI | 1760090104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S4287) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5899) |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-08-07 |