| NPI | 1174053631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 1805) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017016063) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2024-01-24 |