| NPI | 1891913091 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: AR 12093454)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: AR 2188)  | 
| Enumeration Date | 2007-04-23 | 
| Last Update Date | 2023-09-22 |