| NPI | 1578929584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006641A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY SLPLPA00216195) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2021-05-06 |