| NPI | 1013478114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP100797) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2024-10-16 |