| NPI | 1205181872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SP-8642-SL) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06942) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |