| NPI | 1942873559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 46003937A) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-19-96050) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |