| NPI | 1962868679 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22007244A) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5607) | 
| Enumeration Date | 2016-01-11 | 
| Last Update Date | 2021-12-15 |