| NPI | 1356522841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 005511) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1013) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2019-08-12 |