| NPI | 1992459192 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: AR 202328)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: AR 201740)  | 
| Enumeration Date | 2022-02-07 | 
| Last Update Date | 2023-07-27 |