| NPI | 1306328950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77278) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2019-12-31 |