| NPI | 1023606662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-1876) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP-30308) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-08 |