| NPI | 1255670329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005857A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 4350) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2022-05-09 |