| NPI | 1295906279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 4933) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 12012226) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |