| NPI | 1730606450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014189) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 46003049A) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2018-10-09 |