| NPI | 1063904001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 6761) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 200083) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2025-01-13 |