| NPI | 1154750859 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: IN 22005479A)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: FL SA 10274)  | 
| Enumeration Date | 2013-11-04 | 
| Last Update Date | 2013-11-04 |