| NPI | 1023566395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP77793) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2023-06-24 |