NPI | 1184656878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77557) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MA 778) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2024-08-30 |