| NPI | 1700547486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S4914) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 7218) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-06-02 |