| NPI | 1669940235 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: IN 46003498A)  | 
| Additional Taxonomies | 222Q00000X Developmental Therapist | 
| Enumeration Date | 2018-11-12 | 
| Last Update Date | 2019-01-30 |