| NPI | 1073013371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP101505) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 3284) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2024-12-10 |