| NPI | 1255829669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 29389) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 5808) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 027429) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 76986) | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2023-11-08 |