| NPI | 1902568843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-2057) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 78202) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2021-10-07 |