| NPI | 1225367246 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004949A) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 16908) | 
| Enumeration Date | 2009-12-22 | 
| Last Update Date | 2022-02-25 |