| NPI | 1245318674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SP-9043-SL) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 841) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 8278) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2014-06-19 |