| NPI | 1083928188 |
|---|---|
| Former Name | SANDRA CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 76669-SP-SL) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06296) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2020-04-29 |