| NPI | 1255828190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006999A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008733) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-08-16 |