| NPI | 1821360710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 3683) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005188A) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |