| NPI | 1063837714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 003887) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 9160) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2017-05-02 |