| NPI | 1225709249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007685) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22007735A) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |