| NPI | 1811336449 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006155A) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09527) | 
| 235Z00000X Speech-Language Pathologist, (Licence: MO 2019031230) | |
| Enumeration Date | 2013-06-17 | 
| Last Update Date | 2021-10-27 |