| NPI | 1972908549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 3882) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005303A) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2020-04-27 |