| NPI | 1174868012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8334) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 2755) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2025-11-06 |