| NPI | 1306336938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77246-SP-SL) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2022-08-24 |