| NPI | 1235317512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 836) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 5675) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2020-03-13 |