| NPI | 1801184312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-1210) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 12099198) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2021-09-17 |