| NPI | 1013535293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77420) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 29358) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 025805) | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-12-03 |