| NPI | 1043965395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 78685) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-2050) |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 09067) | |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-12-20 |