| NPI | 1962956474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 6742) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 4067) |
| 235Z00000X Speech-Language Pathologist, (Licence: MS S3878) | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2022-03-01 |