| NPI | 1053166074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 1801) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 100923) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-30 |