| NPI | 1215494570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 1905) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 77146-SP-SL) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2021-11-18 |