| NPI | 1013516004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 8594) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S-4658) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2024-05-10 |