| NPI | 1295233153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-2263) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-5464) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2023-12-02 |