| NPI | 1457630014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22007474A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006398) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2020-05-20 |