| NPI | 1093785073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 4685) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MA 605) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2009-10-05 |