| NPI | 1295202265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101002935) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004666A) |
| 235Z00000X Speech-Language Pathologist, (Licence: 12121335) | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-11-13 |