| NPI | 1023538311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 76807) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-07-12 |