| NPI | 1306617907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-2349) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19531) |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-09-11 |