| NPI | 1902524424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-2136) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012712) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2024-10-08 |