| NPI | 1245613207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2019013497) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 46002770A) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2020-09-09 |