| NPI | 1104584812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 1808) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 76820) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2021-11-30 |