| NPI | 1225347651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CT 003780) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 7075) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2020-02-05 |