| NPI | 1801361951 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: IN 22007203A)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: WA LL60886804)  | 
| Enumeration Date | 2018-10-04 | 
| Last Update Date | 2023-08-18 |