| NPI | 1386295392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005635) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22007263A) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |