| NPI | 1104903665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 5984) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 5987) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-07-21 |