| NPI | 1912029372 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC 000284) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004264A) | 
| 235Z00000X Speech-Language Pathologist, (Licence: MD 06308) | |
| Enumeration Date | 2007-04-05 | 
| Last Update Date | 2013-10-03 |