| NPI | 1023458288 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 222Q00000X Developmental Therapist | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003594A) | 
| Enumeration Date | 2013-07-02 | 
| Last Update Date | 2020-02-04 |