| NPI | 1295039048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 3586) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 8032) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2017-12-04 |