| NPI | 1073660718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AR 470) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AR 01037843) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-12-26 |