| NPI | 1245461490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 004217) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 6347) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2019-09-25 |