| NPI | 1902509151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22008398A) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2025-09-11 |