| NPI | 1023532553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006301) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006946A) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2023-09-11 |