| NPI | 1679112494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 14295439) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR P9145) |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |