| NPI | 1801975206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005974A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 6634) |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2015-06-19 |