| NPI | 1063063006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MA 77407) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 11458) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |